3.3 Sinusoidal obstructive syndrome (SOS)
In these conditions, there is impaired venous drainage from the liver, due to occlusion in the small hepatic venules, by damage to the endothelium of the sinusoids. It occurs in a graft-versus-host disease after bone marrow transplantation, or in response to certain cytostatics.
It is clinically characterized by icterus, tender hepatomegaly and ascites. It has a poor prognosis.